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Do not apply Tretinoin right after dermarolling your face. This would be too irritating and stinging.

I only recommend applying Tretinoin right after needling in some special cases such as stretch marks, surgical scars etc. Massage Tretinoin into each individual stretch mark after needling.

Infadolan is a post-dermarolling protective, regenerative ointment and it contains a non-acidic, non-irritating form of vit. A. This form is slowly converted to Tretinoin in the skin but the conversion rate is not as high as if you applied Tretinoin directly. Infadolan can be applied right after dermarolling.

If you use both, apply Tretinoin and then Infadoalan. Tretinoin dries the skin. Infadolan moisturizes the skin.

You can buy a 0.1% Tretinoin cream for your stretch marks.

This percentage is too strong for the face but you can just add a little to your ordinary facial cream and thus dilute the concentration for facial use.

Unfortunately, the holes from the piercing spread out so much that there is some kind of "bridge" of skin above your normal skin. The "bridge" has to be surgically removed (a dermaroller cannot remove it).

The skin under the "bridge" seems to have an atrophied scar. You can use a 1.5 mm dermastamp on it. The dermastamp will also improve the scars left from the removal of that excessive skin.

You can try the dermastamp on it without the surgical removal of the excessive skin but I really do not think it will help because it is not really a hypertrophic scar; your body formed there a whole new "skin construction".

So surgical removal is the way to go, and then treat that scar with dermaneedling techniques.

To be honest, I hesitate to recommend dermarolling on skin with seborrheic dermatitis. It is not 100% certain, but this inflammatory condition is likely caused by overproduction of a certain yeast that is normally present on the skin.

I am not sure such skin will take dermarolling well. Seborrheic dermatitis is a very persistent skin condition that basically never fully goes away. It only goes up and down, depending on many factors, such as the current state of your immune system etc. Antifungals work but the condition often returns and gets resistant to them. Corticoids only suppress the inflammation but they do not address the cause of the disorder. In addition, corticoids are not good for the skin, long term.

If you had acne scars, I would say dermarolling/dermastamping is certainly worth it, even with the unpredictable reaction of your seborrhea but from our experience, only very few customers have achieved improvement of the pores and that is why I think it is not worth it in your case.

Dermarolling triggers short lasting inflammation and skin peeling (the peeling is not always visible). This may set off some kind of bad reaction of your seborrhea and you will hate me.

Theoretically, dermarolling could maybe improve seborrhea but it is really just speculation.

It is unfortunately a bad idea because if you roll or needle over it, the pigment from the pen will get into the dermis and I am afraid it may remain there as a permanent tattoo.

Real tattoos are done by dipping the needle of a tattoo gun into tattoo ink and inserting the needle many times into the same spot. As the needle goes up and down around 60 times per second, the ink is pushed into the dermis. If it is inserted deeply, it will stay there forever.

Thank you very much for your long feedback and detailed explanation. I am really delighted! Your quick improvement seems to be almost too good to be true :-). It is laborious but certainly worth it. Until very recently, there was no method that was able to improve stretch marks. Currently, no method can completely remove stretch marks but it is possible to improve them. I am also happy your skin texture improved. To make this permanent, some maintenance (by dermarolling) is required.

You can even roll more than 8 times. The skin on the hips and the buttocks can most likely take it.

Your practitioner clearly did not read our dermarolling guidelines, because there it is written that whenever substances are applied to freshly rolled skin, it should be taken into account that their absorption will be massively increased (can be a thousandfold).

So they should have done a test patch on themselves first, or educate themselves on the effects on open skin.

It is better to home-roll according to our instructions than put your faith in any clinicians. They often don't take the time to do a test patch on the customer's skin - which is the only way to be sure.

In order to do a test patch first, the clinic would have to let you come in for a short time and then come back. They'd risk losing a customer in between, or due to the increased fee they'd need to ask (more time expended for them).

Homerolling can be done after preparing yourself first, with exactly what you need, and you can take all the time you need to do things properly. It is much cheaper too - within the budget of almost everyone.

The problem with dermaneedling is that because it works so spectacularly well, everyone is now jumping on the bandwagon, offering microneedling sessions to people but some of those practitioners are just not qualified.

I expect and believe you will not suffer permanent scarring from this though. Do not forcibly remove the scabs! The longer the scabs stay the better. Keep the skin moisturized.

Anyone who wonders whether they can apply a skin product on open or raw (from the day before) skin:

Do not ask me please but ask the manufacturer of the product. If the manufacturer does not answer or does not know or is not very sure about their answer, do a small test patch on yourself first, preferably on your upper thigh. If it does not cause trouble there, do a small test patch on the facial skin, if you intend to do the full procedure there.

The vit. A she applied after rolling, if it was Retinoic acid, then it was that that caused the burning. Never use that on open skin! Only very exceptionally, like on individual scars such as stretchmarks you can apply it on open skin and on the actual scar only, not the surrounding skin. This is a specialist topic and it depends on the type of skin, the percentage used, the area treated etc. The general rule is not to use Tretinoin on freshly rolled skin.

I removed the link because this forum is to discuss our own products only.

He can use a 0.5 mm dermaroller but he has to be careful and start slowly.

Initially, apply Minoxidil without dermarolling and preferably start with 2% Minoxidil (later you can go to 5%).

There are people who apply Minoxdil with even longer needles than a 0.5 mm roller and they have no problems but it is always safer to start slow.

A dermaroller significantly enhances the absorption of any skin products.

Minoxidil can have quite serious side effects when overdosed. If you use a dermaroller, don't apply too much Minoxidil on your scalp. At least not in the beginning. When you don't experience side effects, you can slowly use more Minoxidil. But start with just a little bit and then slowly increase if you feel fine. Carefully read the Minoxidil instructions and inform yourself of possible side effects. Most people experience no side effects but some do and they have to stop using it or use lower concentrations.

When you stop using Minoxidil, your hair will return to its original pre-Minoxidil state. So you should continue using it.

I am sorry to hear it. Do not worry; it will not leave any permanent damage.

Keep it very much moisturized, preferably with occlusive creams like Vaseline.Do not forcibly remove the scabs! The longer the scabs stay the better.

If you apply vit. C after dermarolling (only recommended with a 0.5 mm dermaroller or shorter) you should dilute the serum with much more water because dermarolling greatly enhances its penetration. A test patch is also always recommended.

I have added an extra warning to our dermarolling instructions to clarify this.

Unfortunately, not everybody reacts the same. We have customers who routinely apply acidic products such as the A-Ret cream on their face after dermarolling without any problems. When I applied the lowest concentration (0.025%) on my face after rolling with a 0.2 mm roller, my face was burning for hours. That is why I do not recommend the application of A-Ret (Tretinoin) right after dermarolling the face (you can apply it only into individual scars or stretch marks but not spread it all over your face). A test patch is a must.

Your choice of dermarolling tools is very good for your skin condition.

Yes, you can definitely go to the maintenance frequency after you have achieved improvement.

If you are traveling, just skip your sessions, no problem.

Improved acne scars will not revert any time soon. What can revert quickly is the pigmentation - especially if you expose unprotected skin to the sun or you stay in the sun too much. A bumpy skin texture may or may not slowly reappear.

The results from dermarolling will not last forever. The skin will continue to age and some maintenance is necessary.

Dermarolling is a relatively new method and we do not know yet whether improved acne scars will be improved forever. As far as we know, the results will last for years.

>From previous posts I expect a 1.5 mm to do well on those areas and I was

>thinking a .5 mm to do well for forehead, etc. Does this sound right?

If you have acne scars, use longer needles on your forehead. A 1.mm or a 1.5 mm.

I often recommend a combination of a 1.5 mm roller/dermastamp and a 0.5 mm dermaroller for acne scars but a 0.5 mm roller serves more for an overall skin texture and skin tone improvement. Scars routinely need longer needles.

>Have I waited long enough to do the needling? (Four weeks)

If you had Fraxel laser four weeks sago, you had better wait at least two more weeks.

>2) Also will I experience results this quickly with the needling vs the

>fraxel? According to some previous posts it does not appear so.

In general, it will take longer to get results from dermarolling but there are much less potential side effects with dermarolling (lasers use heat and can cause hyper or hypo pigmentation and very rarely even scars). Der

>3) I have heard of Dr. Numb for numbing on other sites. Is this ok to use for

>numbing purposes?

It contains 5% lidocaine. We used to sell a cream containing 5% lidocaine and a cream containing a combination of 2.5% lidocaine and a 2.5 % prilocaine and our customers wrote us that the latter was much more effective so we are now selling EMLA again, and I recommend for that reason only EMLA.